You will need to sign on with your LLLID (La Leche League ID) before you can post. If you have never claimed your LLLID, create your LLLID now. To sign in, click the LLLID Sign On button in the upper right corner. Enter your LLLID Alias and click the button again.

Re: New restrictions on domperidone recommended in EU

The IV form of domperidone was taken off the market in 1986. The studies that are referenced by the EMA are for oral doses of domperidone.

My main reason for wanting to see this information circulated is that there is a strong tendency in lactation circles to emphasize the relative safeness of domperidone, which leads a lot of people to think it's perfectly harmless, and thus fine to purchase from an online pharmacy without a prescription.

But of course it's not without risk, and there are situations where the risk is increased -- history of heart problems, diabetes, liver problems, etc. And it shouldn't be taken with a whole host of antibiotics, fluconazole, or a variety of antidepressants including Zoloft, which are commonly taken by nursing moms.

So it's important that a doctor prescribes domperidone and monitors how the mom does on it. The conclusion of the Canadian consensus statement has a list of guidelines for prescribing domperidone that seem very reasonable. Hopefully the moms who are taking it are working with doctors that follow those guidelines.